| NPI | 1831763903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN.1660314) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.1000405-NP) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2024-12-23 |